Congenital macroglossia: surgical and orthodontic management

Progress in Orthodontics
Giampietro FarronatoCinzia Maspero

Abstract

A case of congenital macroglossia is reported. The most important sign of macroglossia is tongue protrusion through the lips. Tongue protrusion might influence skeletal growth and can cause anterior open bite, proclination of upper and lower incisors and development of diastemas. A 4 year-old female patient was diagnosed with congenital macroglossia. Parents referred an abnormal tongue dimension since birth and the development of a progressive anterior open bite. The treatment of macroglossia included tongue reduction by partial glossectomy. She was seen regularly and at the age of eight years old a lingual frenectomy was performed and an orthodontic treatment was planned. At the end of the orthodontic treatment a Class I occlusion was obtained with correct overbite and overjet values. Early interception of macroglossia and surgical reduction in combination with orthodontic treatment can be seen as preventive measures to avoid the tongue influence on the development of malocclusions.

References

Aug 1, 1996·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·L M Wolford, D A Cottrell
Nov 9, 2002·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Giulio GaspariniRoberto Becelli
May 9, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ruben Fernández García de GuilarteJ Enríquez de Salamanca Celada

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Citations

Sep 17, 2015·Progress in Orthodontics·Giampietro FarronatoCinzia Maspero
May 31, 2016·Scientifica·Abdullah M Zakria JaijaYehya A Mostafa
Jan 2, 2018·The Open Dentistry Journal·Karolina BrobergChristina Mejersjö

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